Kim Young-Mo, Joo Yong Bum
Department of Orthopaedic Surgery, Chungnam National University Hospital, Daejeon, Korea.
Knee Surg Relat Res. 2014 Mar;26(1):52-5. doi: 10.5792/ksrr.2014.26.1.52. Epub 2014 Feb 27.
The authors report a case of localized nodular tenosynovitis originating from the medial plicae of the knee that was grossly observable, palpable, and symptomatic. A 41-year-old male visited our hospital with a complaint of knee pain that began 4 years ago. He complained of intermittent catching and a mass that appeared in the medial side of the knee 18 months ago. On magnetic resonance imaging, the mass was found on the plicae area of the medial side of the knee, and thus excisional biopsy was performed under arthroscopy. Histological study showed characteristics of localized nodular tenosynovitis originating from the synovium of the knee. At the 1-year postoperative outpatient follow-up, no symptoms or signs of recurrence were found. Since the authors experienced excellent postoperative results of arthroscopically assisted resection of a grossly observable and palpable localized nodular tenosynovitis originating from the synovium of the knee plicae, we report the case with a review of the literature.
作者报告了一例起源于膝关节内侧皱襞的局限性结节性腱鞘炎病例，该病例在肉眼下可见、可触及且有症状。一名41岁男性因4年前开始的膝关节疼痛前来我院就诊。他主诉间歇性卡顿，18个月前膝关节内侧出现一个肿块。磁共振成像显示肿块位于膝关节内侧皱襞区域，因此在关节镜下进行了切除活检。组织学研究显示出起源于膝关节滑膜的局限性结节性腱鞘炎的特征。术后1年门诊随访时，未发现复发的症状或体征。由于作者在关节镜辅助下切除起源于膝关节皱襞滑膜的肉眼可见且可触及的局限性结节性腱鞘炎方面获得了出色的术后效果，我们报告该病例并复习相关文献。
